Adherence to treatment among adolescents in a psychiatric ward
Article first published online: 21 NOV 2012
© 2012 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 22, Issue 9-10, pages 1332–1342, May 2013
How to Cite
Timlin, U., Riala, K. and Kyngäs, H. (2013), Adherence to treatment among adolescents in a psychiatric ward. Journal of Clinical Nursing, 22: 1332–1342. doi: 10.1111/jocn.12024
- Issue published online: 10 APR 2013
- Article first published online: 21 NOV 2012
- Manuscript Accepted: 29 JUL 2012
- EVO grants
- hospital patients;
- mental health;
- psychiatric nursing
Aims and objectives
To examine the adolescent's adherence in psychiatric inpatient care that includes both medication and non-pharmacological treatment.
Adolescents can deny having a problem or being in need of treatment and are therefore prone to defying attempts to engage them in a collaborative treatment process. There is still little information in the literature concerning adherence to psychiatric inpatient treatment among mentally ill adolescents, especially focusing on the entire treatment period and all forms of treatment.
This is a retrospective, mixed-method study.
Data were collected from discharge reports written by doctors (n = 72) and were subjected to inductive content analysis. Adherence to all forms of treatment was considered, over the entirety of the treatment period rather than focusing on a single specific time point.
Three main adherence-related content categories were identified: non-adherence to treatment, adherence to treatment and challenges of adherence. The last of these categories contains information on factors that affect adolescent treatment adherence.
We found that adherent adolescents are cooperative, willing to receive treatment and participate actively in therapies aimed at relieving their mental symptoms or illness.
Relevance to clinical practice
The findings presented herein are likely to be informative in the context of inpatient treatment, and it is expected that the results presented herein will help to improve adolescents' quality of treatment.